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General NPI Number Information
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NPI Number | 1194315929
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Entity Type | Individual
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Provider Name | AARON TIMOTHY BREWER LPC
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Gender | Male
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Dates
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Enumeration Date | 01/25/2021
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Last Update Date | 01/25/2021
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Provider Practice Location Address
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Address Line | 9200 MONTGOMERY RD BLDG D
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City | MONTGOMERY
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State | OH
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Zip | 45242-7789
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Country | US
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Telephone | 513-600-2554
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Fax |
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Provider Business Mailing Address
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Address Line | 620 CARRINGTON PL APT 311
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City | LOVELAND
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State | OH
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Zip | 45140-8667
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Country | US
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Telephone | 513-846-3320
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C.2103121
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License Number State | OH
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